Organization Name: | NASIM GHAFFAR, M.D. |
NPI Number: | 1427229202 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NASIM GHAFFAR (OWNER) |
Mailing Address: | 505 Nashua Rd Dracut |
State: | MA US |
Postal Code: | 018261929 |
Phone Number: | 9789574474 |
Fax Number: | 9789574475 |
NPI Enumeration Date: | 03/19/2008 |
NPI Last Update Date: | 03/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207QA0505X |
License Number: | 46370 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Family Medicine |
Taxonomy Specialization: | Adult Medicine |
Taxonomy Definition: |